Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $1,169.00 / $5,369.88	Facility		$177.60	$1,169.00	$5,369.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $162.32 / $304.58	Professional		$85.79	$162.32	$304.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $62.08 / $62.08	Professional		$62.08	$62.08	$62.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.24 / $1,363.00 / $2,170.98	Facility		$933.24	$1,363.00	$2,170.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.91 / $183.29 / $309.14	Professional		$109.91	$183.29	$309.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $480.00	Facility		$463.00	$463.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $182.48 / $352.80	Professional		$103.99	$182.48	$352.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $250.37 / $795.00	Professional		$119.80	$250.37	$795.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $117.23 / $234.68	Professional		$114.11	$117.23	$234.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.36	Professional		$32.34	$32.34	$265.36
United Facility/Professional Facility Modifier Low / Median / High Price $749.00 / $2,622.00 / $5,026.00	Facility		$749.00	$2,622.00	$5,026.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $220.53 / $435.59	Professional		$165.66	$220.53	$435.59